Individual
JAIMI MICHELLE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 E MAPLE ST, GILLESPIE, IL 62033-1473
(217) 839-4100
Mailing address
9965 FARLEY LN, GILLESPIE, IL 62033-3380
(618) 362-6474
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020010228
IL
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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